Brandon Lee
- Role
- Assistant Director, Network Contracting at Cigna Healthcare
- Location
- Los Angeles, CA, US
- LinkedIn followers
- 500 followers
About Brandon Lee
Incredibly passionate about the Healthcare industry with demonstrated experience in…
Experience
Assistant Director, Network Contracting
Aug 2021 — Present
Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals, large physician groups, and ancillary providers. • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. • Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. • Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. • Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna\'s competitive position. • Creates and manages initiatives that improve total medical cost and quality. • Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. • Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. • Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
Skills
- Keyword Research
- Hospital Electronic Medical Record Systems (Emr)
- Microsoft Excel
- Microsoft Powerpoint
- Google Trends
- Microsoft Outlook
- Hipaa Compliance
- Google Analytics
- Wordpress
- Microsoft Word
- Google Webmaster Tools
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